FCC Form Coverage and Performance Data Update

Transcription

1 FCC Form Coverage and Performance Data Update ("Texas 10" or "the Company") has completed construction and deployment with respect to the SAC associated with this filing. Drive testing is ongoing throughout those census tracts for which the Company has been authorized to receive awards, with all drive testing and disbursement request filings to be completed in advance of the Company's construction deadline of August 17, On or prior to that date, Texas 10 will submit these filings, which will include the required coverage and performance data. Please reference the Company's disbursement request filings for additional coverage and performance information. 300

2 Form Annual Report for August July 2015 Item: SAC County/State: Sabine, TX Total Award Amount: $280, Project Status Description Proiect Description The initial Project Description for this project was filed by ("Texas 10" or "the Company") on November 1, 2012, accompanying its Form 680 long form application. The Company updated this information in its 2014 Mobility Fund Phase I Annual Report, filed July 30, Both filings are incorporated herein by reference. The current update of material changes to the Project Description information previously provided for this census tract is as follows. Texas 10 has completed network design, construction, and deployment of the contemplated upgrades to its network. The upgrades have been tested and launched into commercial service. The network is now serving customers in this census tract with mobile broadband as well as voice services. The project remains within total amounts budgeted. The Company remains firmly committed to complying with all regulatory obligations associated with the support. Texas 10 has commenced its monthly, semiannual and annual maintenance reviews at each cell site, and will obtain third-party maintenance services and replacement equipment from its vendors as applicable. 301

3 Mobility Fund Co Annual Reporting FCC Form Approved by OMB OMB Avg. Burden Estimate per Respondent: 18 Hours <030> Contact Name: Person USAC should contact with questions about this data Ana Bataille <035> Contact Telephone Number: Number otthe person identified in data line <030> <039> Contact otthe person identitied in data line <030> ext. abataille@cellonenation.com (check box when complete) <040> Has the information required Pursuant to been provided with a Form 481 filing (Y/N) <040> 0 Q <041> Attach a description of the documents filed with the Form 481 reporting <041> <042> Cite the Study Area Code (SAC) for the Form 481 reporting <042>F- <050> Carrier Contact Information (complete attached worksheet) <050> FV( <060> Coverage and Performance Report (complete attached worksheet) <060> <070> Urban Rate Comparabilily Certification (complete attached certification) <070> FV( I <080> Tribal Lands Reporting (y/n7) (Does this study area cover tribal lands? Yes or No) <090> Project Update Information <100> Certifications <101> Reporting Carrier Certification <102> Agent Certification (If yes, complete the attached worksheet) (complete attached worksheet) (complete attached certification) (complete attached certification) 0 ^ <080> F-1 <090> 579 <101> F71 <102> F^ Notice to Individuals Required by the Paperwork Reduction Act of 1995 OMB Control Number (Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements) Notice to Individuals Required by the Paperwork Reduction Act of 1995 Public reporting burden for this collection of information is estimated to average 18 hours per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project ( ). Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number and/or we fail to provide you with this notice. This collection has been assigned an OMB control number of THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW , OCTOBER 1, 1995, 44 U.S.C. SECTION Page A2

4 (050) Carrier Contact Form FC(; fr,rnt ^,90 Approved byqmb OMB Control No. "050-11d5 Ia- ^ nf R <030> Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in d ata line <030> <039> Contact Address - Address of person identified i n data li ne <030> Ana Bataille ext. ab ta' lle ce lonena io --- Reporting Carrier / Mobility Fund Phase 1 Winning Bidder <110> FCC Registration Number <111> Filing Carrier Name <112> Winning Bidder Carrier Name <113> Street Address (or PO Box) <114> City <115> State <116> Zip-Code <117> Telephone Number <118> Fax Number <119> Address Contact Information if same as above, indicate in this box <120> Name ( First, MI, Last, Suffix) <121> Filing Carrier Name <122> Street Address (or PO Box) <123> City <124> State <125> Zip-Code <126> Telephone Number <127> Fax Number <128> Address Texas 10 LLC 1170 Devon Park Drive, Suite 104 Wayne PA ext abataille@cellonenation.com ED Ana Bataille 1'1'1n ncl.nn P>.-k n c 10A Wayne PA ext abataille@cellonenation.com Authorized Agent Information if no agent, indicate in this box <130> Name ( First, MI, Last, Suffix) ^ <131> Company <132> Street Address ( or PO Box) <133> City <134> State <135> Zip-Code <136> Telephone Number <137> Fax Number <138> Address Page 2 303

5 (060) Coverage and Performance Report F(-C Form 640 Ap provad by ORqB OMB Cuntrol No. ^ F',,ge;ot <030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number - Number of person identified in data line <030> ext. <039> Contact Address - Address of person identified in data line <030> abatailleocellonenation.com <140> Coverage and Performance Report Year 08/ / _CPRdTX.zip Coverage and Performace attachements <141> <37> r < ate unty nsus Block esident Population per Census Block esident Population Newly Reached by Service otal Resident Population Reached by Service oad Miles per Census Block Road Miles per Census Block Newly Reached Total Road Miles covered per Census Block Certify that Coverage and Performance data is uploaded (Yes/no) -- See attach d works eet 0 0 Percentage of Total Population Reached by Service Percentage of Total Road Miles covered by Service Page 3 304

6 (070) Urban Rate Comparability Certification Compliance <030> Contact Name - Person USAC should contact regarding this data <035> <039> Contact Telephone Number - Number of person identified in data line <030> Contact Address - Address of person identified in data line <030> ana Bataille ext. ab atail lec4cellonenation. com FCC Form C9p Approved by CMB CML ContrCl No. 30CC-]125 Pave4f TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING CERTIFICATION DATA ON ITS OWN BEHALF: Certification of Officer or Employee as to Compliance with 47 CFR (a)(4) I certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance with 47 CFR (a)(4), the information reported on this form and in any attachments is accurate. Name of Reporting Carrier: Signature of Authorized Officer: 'rinted name ofauthorized Officer: fitle or position ofauthorized Officer: CERTIFIED ONLINE Ana Bataille Tax & Regulatory Manager Date 06/25/2015 'elephone number of Authorized Officer: ext. tudyarea Code of Reporting Carrier: Filing Due Date for this form: 07/01/2015 Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING CERTIFICATION DATA ON THE CARRIER'S BEHALF: y that %-runcarnon or officer or Employee to authorize an Agent to file Compliance with 47 CFR (a)(4) on Behalf of Reporting Carrier (Name of Agent) r. I is authorized to submit the information reported on behalf of the reporting ized also agent; certify and that, I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance with 47 CFR (a)(4) reported to the to the best of my knowledge the reports and data provided to the authonzed agent is accurate. ofauthorized Aaa t - ILcu vrncer or tmployee: ed name of Authorized Officer or Empioyee: or position of Authorized Officer or Employee: hone number ofauthorized Officer or Employee: i Area Code of Reporting Carrier: Filing Due Date for this form: Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U S.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C Date: TO BE COMPLETED BY THE AUTHORIZED AGENT: uertirication of Agent Authorized to File Compliance with 47 CFR (a)(4) on Behalf of Reporting Carrier I, as agent for the reporting carrier, certify that I am authorized to submit the certification on behalf of the reporting carrier; I have provided the data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate. Name of Reporting Carrier: Name of Authorized Agent or Employee of Agent: Signature of Authorized Agent or Employee of Agent: Printed name of Authorized Agent or Employee of Agent: itle or position of Authorized Agent or Employee of Agent elephone number ofauthorized Agent or Employee ofagent: tudy Area Code of Reporting Carrier: _..._,..._..._.... Filing Due Date for this form: _...,..-.._....,....._._.._.._...._._ _.._,,.._,._._. -_.._ _.._._.._.._..._......_.,_._.._-_ _._ _._...._..,_._.._._.... Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 US.C 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U S.C Date: Page 4 305

7 (080) Tribal Lands Reporting FCC Form LWj Approoed by OMB OA18 COnfrpi N0. ; F;5 P""' s r a <030> Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in data line <030> <039> Contact Address - Address of person identified in data line <030> <142> State ols ^a aataille ext. a at i le c 11 ne a-o, om <143> County <144> Tribal Land(s) on which ETC Serves <145> Tribal Government Engagement Obligation Name of Attached Document (.pdf) If your company serves Tribal lands, please select (Yes, No, Not Applicable) for each of these boxes to confirm the status described on the attached PDF, on line 145, demonstrates coordination with the Tribal government pursuant to includes: <146> Needs assessment and deployment planning with a focus on Tribal community anchor institutions; <147> Feasibility and sustainability planning; <148> Marketing services in a culturally sensitive manner; <149> Compliance with Rights of way processes <150> Compliance with Land Use permitting requirements <151> Compliance with Facilities Siting rules <152> <153> <154> Compliance with Environmental Review processes Compliance with Cultural Preservation review processes Compliance with Tribal Business and Licensing requirements. Page 5 306

8 i-i,, uirut upuace rntorrnatron FCC Forrn 690 <030> Contact Name - Person USAC should contact regarding this data Ana Hataille <035> Contact Telephone Number - Number of person identified in data line <030> ext. <039> Contact Address - Address of person identified in data line <030> Apprpved by Oh-1F' OMB Control No. ^060-71^5 Patr^-6of Texas 10, llc 2015 abataille@cellonenation.com <200> Date Authorized to Receive Support <201> Targeted Completion Date <202> Total Mobility Fund Support Awarded <203> Total Mobility Fund Support Disbursed 08/16/ /1J/ <210> Actual Completion Date <211> Project Status Description (attached) E032_8SDTx.Pdf Please check these boxes below to confirm that the attached PDF, on line 211, contains a project status pursuant to (b)(2)(v). The information shall be submitted as appropriate. <212> Status of Network Deployment - Network Design <213> Status of Network Deployment - Construction <214> Status of Network Deployment - Deployment <215> Status of Network Deployment - Maintenance <216> Project Budget Status <217> Project Plan Status {Name of PDF attached} <218> Certify Network will Support 3G/4G Mobile Service (Yes / No) G) 0 Page 6 307

9 (101) Certification - Reporting Carrier <030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number -Number of person identified in data line <030 > ext. <039> Contact Address - Address of person identified in data line <030> abataillerocellonenation. corn f{c Form h90 Approved by OMB Ofv1B Control No Page 7 of ri TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ON ITS OWN BEHALF: Certification of Officer as to the Accuracy of the Data Reported for Mobility Fund Recipients certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the reporting requirements for Mobility Fund recipients; and, to the est of my knowledge, the information reported on this form and in any attachments is accurate. me of Reporting Carrier: Signature of Authorized Officer: [Printed name of Authorized Officer or position of Authorized Officer: )hone number of Authorized Officer: CERTIFIED ONLINE Ana Hataille Tax & Regulatory manager ext. 06/25/2015 Area Code of Reporting Carrier: Filing Due Date for this form: 07/01/2015 Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U S.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S C Page 7 308

10 (102) Certification - Agent / Carrier <030> 201s Contact Name - Person USAC should contact re garding this data Ana <035> Contact Telephone Number - Number of person identified in data line <030> <039> ext. Contact Address - Address of person identified in data line <030> abataille@cellonenation.com FCC Form 690 Appro,jed bv (jme OMfi Control No. 30b0-11E5 T' J';'.= of 8 TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING ON T HE CARRIER'S BEHALF: Certification of Officer to Authorize an Agent to File for Mobility Fund Recipients on Behalf of Reporting Carrier certify that (Name of Agent) is authorized to submit the information reported on behalf of the reporting carrier. Iso certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the data reporting requirements provided to the authorized gent; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate. ame of Authorized Agent: ame of Renorting rarripr re of Authorized Offi name of Authorized Date: or position of Authorized Officer: )hone number ofauthorized Officer: f Area Code of Reporting Carrier: Filing Due Date for this form: Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 US.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C 1001 TO BE COMPLETED BY THE AUTHORIZED AGENT: Certification of Agent Authorized to File for Mobility Fund Recipients on Behalf of Reporting Carrier as agent for the reporting carrier, certify that I am authorized to submit the reports for Mobility Fund recipients on behalf of the reporting carrier; I have provided the data ported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate. eme of Reporting Carrier: 3me of Authorized Agent or Employee of Aeent: Signature of Authorized Agent or Employee of Agent: Printed name of Authorized Agent or Employee of Agent: Title or position of Authorized Agent or Employee of Agent Telephone number of Authorized Agent or Employee of Aeent itudy Area Code of Reporting Carrier: Filing Due Date for this form: _._...._...,._...._._..._..._.._..._..._._..._..,.,_.._..._._......_,..._._.._..._..._._.....,_._....._.._..._._...,....._._..._.._.._..._ _._... Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.SC. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S C Date: Page 8 309

11 Attachments 310

12 (060) Coverage and Performance Report FU f irm brju A f i rdve d by 0%1B Alb Fontr jf No <030> Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in data line <030> <039> Contact Address - Address of person identified in data line <030 > <140> Coverage and Performance Report Year Ana B at ail le ext. abat aille@cellonenation. com 08/ /2015 <141> tate TX ounty Sabine ensus Block 0000 Resident Population per Census Block 0 0 Resident Population Newly Reached b yservice Total Resident Population Reached by Y Service Road Miles per Census Block Road Miles per Census Block Newly Reached Total Road Miles covered per Census Block Yes Certify that Coverage and Performacne data is u P l oaded (yes/no) Percentage of Total Population Reached by Service o Percentage of Total 0 Road Miles covered byservice 311

13 FCC Form Coverage and Performance Data Update ("Texas 10" or "the Company") has completed construction and deployment with respect to the SAC associated with this filing. Drive testing is ongoing throughout those census tracts for which the Company has been authorized to receive awards, with all drive testing and disbursement request filings to be completed in advance of the Company's construction deadline of August 17, On or prior to that date, Texas 10 will submit these filings, which will include the required coverage and performance data. Please reference the Company's disbursement request filings for additional coverage and performance information. 312

14 Form Annual Report for August July 2015 Item: SAC County/State: Sabine, TX Total Award Amount: $244, Project Status Description Project Description The initial Project Description for this project was filed by ( "Texas Company") 10" or "the on November 1, 2012, accompanying its Form 680 long form application. The Company updated this information in its 2014 Mobility Fund Phase I Annual Report, filed July 30, Both filings are incorporated herein by reference. The current update of material changes to the Project Description information previously provided for this census tract is as follows. Texas 10 has completed network design, construction, and deployment of the contemplated upgrades to its network. The upgrades have been tested and launched into commercial service. The network is now serving customers in this census tract with mobile broadband as well as voice services. The project remains within total amounts budgeted. The Company remains firmly committed to complying with all regulatory obligations associated with the support. Texas 10 has commenced its monthly, semiannual and annual maintenance reviews at each cell site, and will obtain third-party maintenance services and replacement equipment from its vendors as applicable. 313

15 ty Fund Annual Reporting FCC Form Approved by OMB OMB Avg. Burden Estimate per Respondent: 18 Hours <015> StudyArea Name 2015 <030> Contact Name: Person USAC should contact with questions about this data ^a Bataille <035> Contact Telephone Number: Number otthe person identitied in data line <030> <039> Contact of the person identitied in data line <030> ext. abatailleocellonenation.com (check box when complete) <040> Has the information required pursuant to been Provided with a Form 481 filling (Y/N) <040> 0 ^ <041> Attach a description of the documents filed with the Form 481 reporting <041> <042> Cite the Study Area Code (SAC) for the Form 481 reporting <042> <050> Carrier Contact Information (Complete attached worksheet) <050> FV71 <060> Coverage and Performance Report (complete attached worksheet) <060> <070> Urban Rate Comparability Certification (complete attached certification) <070> <080> Tribal Lands Reporting (v/n?) (Does this study area cover tribal lands? Yes or No) <090> Proiect Update Information <100> Certifications <101> Reporting Carrier Certification <102> Agent Certification (If yes, complete the attached worksheet) (complete attached worksheet) (complete attached certification) (complete attached certification) 0 ^ <080> F-1 <090> EZ-1 <101> M <102> E-1 Notice to Individuals Required by the Paperwork Reduction Act of 1995 OMB Control Number (Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements) Notice to Individuals Required by the Paperwork Reduction Act of 1995 Public reporting burden for this collection of information is estimated to average 18 hours per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project ( ). Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number and/or we fail to provide you with this notice. This collection has been assigned an OMB control number of THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW , OCTOBER 1, 1995, 44 U.S.C. SECTION

16 FCC(or m690 Approved bq OMB OMB Control No. ;Oo FapP n rq <030> Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in data line <030> <039> Contact Address - Address of person identified in data line <030> Ana Bataille ext. a ata ' le e on nation --- Reporting Carrier / Mobility Fund Phase 1 Winning Bidder <110> FCC Registration Number <111> Filing Carrier Name <112> Winning Bidder Carrier Name <113> Street Address (or PO Box) <114> City <115> State <116> Zip-Code <117> Telephone Number <118> Fax Number <119> Address Contact information if same as above, indicate in this box <120> Name (First, MI, Last, Suffix) <121> Filing Carrier Name <122> Street Address (or PO Box) <123> City <124> State <125> Zip-Code <126> Telephone Number <127> Fax Number <128> Address Texas 10 LLC 1170 Devon Park Drive, Suite 104 Wayne PA ext abataille@cellonenation co. ED Ana Bataille 11']n n -rt- n c-h n1 Wayne PA ext abataille@cellonenation.com Authorized Agent Information if no agent, indicate in this box <130> Name (First, MI, Last, Suffix) <131> Company <132> Street Address (or PO Box) <133> City <134> State <135> Zip-Code <136> Telephone Number <137> Fax Number <138> Address Page 2 315

17 (060) Coverage and Performance Report FCC Frrm 6^0 Ap proved by (-)MH OMB Control No. 3U ',q,,,e <030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number - Number of person identified in data line <030> ext. <039> Contact Address - Address of person identified in data line <030> abataille@cellonenation.com <140> Coverage and Performance Report Year 08/ / _CPRd_TX.zip Coverage and Performace attachements <141> <a1%. A " ; -,: < ate unty nsus Block esident Population per Census Block esident Population Newly Reached by Service otal Resident Population Reached by Service oad Miles per Census Block Road Miles per Census Block Newly Reached Total Road Miles covered per Census Block Certify that Coverage and Performance data is uploaded (Yes/no) -- See attach d works eet 0 0 Percentage of Total Population Reached by Service Percentage of Total Road Miles covered by Service Page 3 316

18 (070) Urban Rate Comparability Certification Compliance <030> Contact Name - Person USAC should contact regarding this data Ana Batail le <035> Contact Telephone Number - Number of person identifi ed i n data line <030> ext. <039> Contact Address - Address of person id en tifi e d i n data line <030> abatailleftellonenation. com Ff CForm G90 Approved by OMB opagcontrolno.?oi,01]55 Pn^e l of S TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTI NG CARRIER IS FILING CERTIFICATION DATA ON ITS OWN BEHALF: Certification of Officer or Employee as to Compliance with 47 CFR (a)(4) certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance with 47 CFR (a)(4), the information reported on this 3rm and in any attachments is accurate. Name of Reporting Carrier: Signature of AUthorized Officer: Printed name of Authorized Officer: CERTIFIED ONLINE Ana eataille 06/25/2015 Title or position ofauthorized Officer: Tax & Regulatory Manager Telephone number ofauthorized Officer: Area Code of Reporting Carrier: 61053s6911 ext. 44e033 g Filin Due Date for this form: 07/01/2015 Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING CERTIFICATION DATA ON THE CARRIER'S BEHALF: Certification of Officer or Employee to authorize an Agent to file Compliance with 47 CFR (a)(4) on Behalf of Reporting Carrier certify that (Name of Agent) arrier. I also certify that I am an officer or employee of the reporting carrier; my responsibilities include submit the information uthorized agent; and, ensuring compliance to the best of my knowledge, the reports and data provided to the authorized with 47 CFR (a)(4) reported to i the ame of Authorized Agent. a ent is accurate. ame of Reoortine carrierof Authorized Officer or Employe^ me of Authorized Officer or Empl sition of Authorized Officer or Em number ofauthorized Officer or ea Code of Reporting Carrier: Filing Due Date for this form: Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.SC. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C TO BE COMPLETED BY THE AUTHORIZED AGENT: Certification of Agent Authorized to File Compliance with 47 CFR (a)(4) on Behalf of Reporting Carrier I, as agent for the reporting carrier, certify that I am authorized to submit the certification on behalf of the reporting carrier; I have provided the data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate. Name of Reporting Carrier: Name ofauthorize or Employee of ited name of Authorized Agent or Employee of Agent: e or position of Authorized Agent or Employee of Agent phone number ofauthorized Agent or Employee ofagent: dy Area Code of Reporting Carrier: Filing Due Date for this Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.5 C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C Page 4 317

19 ^^^^i - -ai ^aiw^ neporiing k-( Form 6c40 Approved by OMB OMB Control No ; G - 1^ nf R <030> Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in data line <030> <039> Contact Address - Address of person identified in data line <030> <142> State zols Ana Bataille ext. abat i e el on na io. co <143> County <144> Tribal Land(s) on which ETC Serves <145> Tribal Government Engagement Obligation Name of Attached Document (pdfj If your company serves Tribal lands, please select (Yes, No, Not Applicable) for each of these boxes to confirm the status described on the attached PDF, on line 145, demonstrates coordination with the Tribal government pursuant to includes: <146> Needs assessment and deployment planning with a focus on Tribal community anchor institutions; <147> Feasibility and sustainability planning; <148> Marketing services in a culturally sensitive manner; <149> Compliance with Rights of way processes <150> Compliance with Land Use permitting requirements <151> Compliance with Facilities Siting rules <152> Compliance with Environmental Review processes <153> Compliance with Cultural Preservation review processes <154> Compliance with Tribal Business and Licensing requirements. 06/z2/z015 Page 5 318

20 kuyu) rroject Upcfate Intormation FCC Form E <030> Contact Name - Person USAC should contact regarding this data Ana eataille <035> Contact Telephone Number - Number of person identified in data line <030> ext <039> Contact Address - Address of person identified in data line <030> Approved [DV OMB OW, Control No li5 Pae,^ E cf ^, abataillecocellonenation.com <200> Date Authorized to Receive Support <201> Targeted Completion Date <202> Total Mobility Fund Support Awarded <203> Total Mobility Fund Support Disbursed O8/16/ /17/ <210> Actual Completion Date <211> Project Status Description (attached) _PSD_TX.pdf Please check these boxes below to confirm that the attached PDF, on line 211, contains a project status pursuant to (b)(2)(v). The information shall be submitted as appropriate. <212> Status of Network Deployment - Network Design <213> Status of Network Deployment - Construction <214> Status of Network Deployment - Deployment <215> Status of Network Deployment - Maintenance <216> Project Budget Status <217> Project Plan Status <218> Certify Network will Support 3G/4G Mobile Service (Yes / No) {Name of PDF attached} ^ 0 Page 6 319

21 (101) Certification - Reporting Carrier <030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number - Number of person identified in d a t a li ne <030> ext. <039> Contact Address - Address of person identified in data line <030> abatail le@cellonenation.com FUC Form o90 Appro`:ad b,, OMB OMB Contr,)l No. 306C-1185 Pawe 7 of 8 TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING ON ITS OWN BEHALF: Page 7 320

22 (102) Certification - Agent / Carrier Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in data line <030> <039> Contact Address - Address of person identified in data line <030> s A^a ext. abataille@cellonenation. com FCC Forrn 690 ApprovNd by 0M8 OMP Control No PaCe 8 of 5 TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGE NT IS FILING ON THE CARRIER'S BEHALF: Certification of Officer to Authorize an Agent to File for Mobility Fund Recipients on Behalf of Reporting Carrier tify that (Name of Agent) is authorized to submit the information reported on behalf of the reporting carrier. I certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the data reporting requirements provided to the authorized t; and, to the best of my knowledge, the reports and data provided to the authorized agent is accurate. e of Authorized Agent: e of Reporting Carrier: ature ofauthorized Officer: ed name ofauthorized Officer: or position of Authorized Officer: )hone number ofauthorized Officer: Area Code of Reporting Carrier: Filing Due Date for this form: Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 US.C Date: TO BE COMPLETED BY THE AUTHORIZED AGENT: Certification of Agent Authorized to File for Mobility Fund Recipients on Behalf of Reporting Carrier as agent for the reporting carrier, certify that I am authorized to submit the reports for Mobility Fund recipients on behalf of the reporting carrier; I have provided the data ported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate. 3me of Reporting Carrier: 3me of Authorized Agent or Employee of 'Agent: Signature of Authorized Agent or Employee of Agent: Printed name of Authorized Agent or Employee of Agent: Title or position ofauthorized Agent or Employee ofagent Telephone number ofauthorized Agent or Employee ofagent: Study Area Code of Reporting Carrier: Filing Due Date for this form: _.,..,...-.._ _-..._..._._..._, Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 US.C Page 8 321

23 Attachments 322

24 (060) Coverage and Performance Report FCC Form b,30 Approved 6y OMB OMB ContrL I No. 305i!-1185 <030> Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in data line <030> <039> Contact Address - Address of person identified in data line <030> <140> Coverage and Performance Report Year <141> ` ',i> Ana Bat ail le ext. abatailleocellonenation. com 08/ /2015 d tate TX ounty -Sabine ensus Block Qooo esident Population per Census Block 0 0 esident Population Newly Reached by Service otal Resident Population Reached by Y Service oad Miles per Census Block Road Miles per Census Block Newly Reached otal Road Miles per Census Block Yes Certify that Coverage and Performacne data is uploaded (yes/no) Percentage of Total Population Reached by Service o Percentage of Total 0 Road Miles covered by Service 06/22/z

25 FCC Form Coverage and Performance Data Update ( "Texas 10" or "the Company") has completed construction and deployment with respect to the SAC associated with this filing. Drive testing is ongoing throughout those census tracts for which the Company has been authorized to receive awards, with all drive testing and disbursement request filings to be completed in advance of the Company's construction deadline of August 17, On or prior to that date, Texas 10 will submit these filings, which will include the required coverage and performance data. Please reference the Company's disbursement request filings for additional coverage and performance information. 324

26 Form Annual Report for August July 2015 Item: SAC County/State: Sabine, TX Total Award Amount: $367, Project Status Description Proiect Description The initial Project Description for this project was filed by ("Texas 10" or "the Company") on November 1, 2012, accompanying its Form 680 long form application. The Company updated this information in its 2014 Mobility Fund Phase I Annual Report, filed July 30, Both filings are incorporated herein by reference. The current update of material changes to the Project Description information previously provided for this census tract is as follows. Texas 10 has completed network design, construction, and deployment of the contemplated upgrades to its network. The upgrades have been tested and launched into commercial service. The network is now serving customers in this census tract with mobile broadband as well as voice services. The project remains within total amounts budgeted. The Company remains firmly committed to complying with all regulatory obligations associated with the support. Texas 10 has commenced its monthly, semiannual and annual maintenance reviews at each cell site, and will obtain third-party maintenance services and replacement equipment from its vendors as applicable. 325

27 Mobility Fund Phase Annual Reporting FCC Form Approved by OMB OMB Avg. Burden Estimate per Respondent: 18 Hours <030> Contact Name: Person USAC should contact with questions about this data ^a Bataille <035> Contact Telephone Number: Number otthe person identitied in data line <030> <039> Contact ot the person identitied in data line <030> ext. (check box when complete) <040> Has the information required Pursuant to been provided with a Form 481 filing (Y/N) <041> Attach a description of the documents filed with the Form 481 reporting <041> <042> Cite the Study Area Code (SAC) for the Form 481 reporting <042> <050> Carrier Contact Information (complete attached worksheet) <050> F71 <060> Coverage and Performance Report (Complete attached worksheet) <060> ^ <070> Urban Rate Comparability Certification (complete attached certification) <070> FV71 <080> Tribal Lands Reporting (yln?) (Do. this study area cover tribal lands? Yes or No) <090> Project Update Information <100> Certifications (If yes, comp/ete the attached worksheet) (complete attached worksheet) 0 <080> ED <090> M <101> Reporting Carrier Certification (complete attached certification) <101> M <102> Agent Certification (complete attached certification) <102> F-1 Notice to Individuals Required by the Paperwork Reduction Act of 1995 OMB Control Number (Annual Report for Mobility Fund Phase I Support, FCC Form 690 and Record Retention Requirements) Notice to Individuals Required by the Paperwork Reduction Act of 1995 Public reporting burden for this collection of information is estimated to average 18 hours per response. Our estimate includes the time to read the instructions, look through existing records, gather and maintain required data, and actually complete and review the form or response. If you have any comments on this estimate, or on how we can improve the collection and reduce the burden it causes you, please write the Federal Communications Commission, Office of Managing Director, AMD-PERM, Washington, DC 20554, Paperwork Reduction Act Project ( ). Please DO NOT SEND COMPLETED FORMS TO THIS ADDRESS. You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number and/or we fail to provide you with this notice. This collection has been assigned an OMB control number of THIS NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW , OCTOBER 1, 1995, 44 U.S.C. SECTION Page3^6

28 <030> Contact Name - Person USACshould contact regarding this data <035> Ana Batai1le Contact Telephone Number - Number of person identified in data line <030> ext. <039> Contact Address - Address of person identified i n data line <030> ab tai le ce lo en ti n. om Reoortine Carrier / Mobility Fund Phase 1 Winning Bidder <110> FCC Registration Number <111> Filing Carrier Name <112> Winning Bidder Carrier Name <113> Street Address (or PO Box) <114> City <115> State <116> Zip-Code <117> Telephone Number <118> Fax Number <119> Address Texas 10. LLC 1170 Devon Park Drive, Suite 104 Wayne PA ext F( C Form 690 Approved by 0^,16 OMB Control N. 3G5Qll85 uana I s - abataille@cellonenation.com Contact information if same as above, indicate in this box <120> Name (First, MI, Last, Suffix) <121> Filing Carrier Name <122> Street Address (or PO Box) <123> City <124> State <125> Zip-Code <126> Telephone Number <127> Fax Number <128> Address ^ Ana Bataille 117n p-x C Wayne PA ext abatailleqcellonenation com Authorized Agent Information if no agent, indicate in this box <130> Name (First, MI, Last, Suffix) <131> Company <132> Street Address (or PO Box) <133> City <134> State <135> Zip-Code <136> Telephone Number ED <137> Fax Number <138> Address Page 2 327

29 (060) Coverage and Performance Report FCC forrn 690 AP proved by ORqB OMB biritrol No 30t-0-1,185 F",agF s of <030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number - Number of person identified in data line <030> ext. <039> Contact Address - Address of person identified in data line <030> abataille@cellonenation.com <140> Coverage and Performance Report Year 08/ / _CPRd_TX.zip Coverage and Performace attachements <141> ^al> > a?, bl^ hj, Total Road Road Certify that Road Miles per Miles Coverage and Resident Total Resident Miles Census covered Resident Performance data Population Population per Block per is u ploaded Population per Newly Reached Reached by Census State Newly County Census Census Block Census Block (Yes/no) by Service Service Block Reached Block -- ee attach d works eet 0 0 Percentage of Total Population Reached by Service Percentage of Total Road Miles covered by Service Page 3 328

30 (070) Urban Rate Comparability Certification Compliance "rcr Farr) L <030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number - Number of person identified in data line <030> ext. <039> Contact Address - Address of person identified in data line <030> abataille@cellonenation.com Approved by OPAE^ ON1G Control No, P, e4of8 TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIER IS FILING CERTIFICATION DATA ON ITS OWN BEHALF: Certification of Officer or Employee as to Compliance with 47 CFR (a)(4) I certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance with 47 CFR (a)(4), the information reported on this form and in any attachments is accurate. Name of Reporting Carrier: Signature ofauthorized Officer: Printed name of Authorized Officer: Title or position of Authorized Officer: CERTIFIED ONLINE Ana Bataille Tax & Regulatory Manager Date 06/25/2015 Telephone number ofauthorized Officer: ext. Study Area Code of Reporting Carrier: Filing Due Date for this form: 07/01/2015 Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U S.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.SC TO BE COMPLETED BY THE REPORTING CARRIER, IF AN AGENT IS FILING CERTIFICATION DATA ON THE CARRIER'S BEHALF: Certification of Officer or Employee to authorize an Agent to file Compliance with 47 CFR (a)(4) on Behalf of Reporting Carrier certify that (Name of Agent) is authorized to submit the information reported on behalf of the reporting arrier. I also certify that I am an officer or employee of the reporting carrier; my responsibilities include ensuring compliance uthorized agent; and, to the best of m y knowledge, the with 47 CFR (a)(4) reported to the reports and data provided to the authorized a ame of Authorized Agent: gent is accurate. ame of Reporting Carrier: gnature of Authorized Officer or Employee: rinted name ofauthorized Officer or Employee: tle or position ofauthorized Officer or Employee: alephone number of Authorized Officer or Employee: udy Area Code of Reporting Carrier: Filing Due Date for this form: Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 US.C. 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C Date: TO BE COMPLETED BY THE AUTHORIZED AGENT: Certification of Agent Authorized to File Compliance with 47 CFR (a)(4) on Behalf of Reporting Carrier I, as agent for the reporting carrier, certify that I am authorized to submit the certification on behalf of the reporting carrier; I have provided the data reported herein based on data provided by the reporting carrier; and, to the best of my knowledge, the information reported herein is accurate. Name of Reporting Carrier: Name of Authorized Agent or Employee of Agent: Signature of Authorized Agent or Employee of Agent: Printed name of Authorized Agent or Employee of Agent: Tltle Or position nf Authnrio<rl Aeo... c..,..i_.. ^.. ieiephone number ofauthorized Agent or Employee ofagent: Study Area Code of Reporting Carrier: Filing Due Date for this form: Date: Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S C Page 4 329

31 <030> Contact Name - Person USAC should contact regarding this data <035> Contact Telephone Number - Number of person identified in data line <030> <039> Contact Address - Address of person identified in data line <030> <142> State Ana Bataille ext. a at el on at on. co FiC. Form 69^, %+PPfoved by OMB OMEi Conirol No 3oSO-1185 Pore " 'f "o <143> County <144> Tribal Land(s) on which ETC Serves <145> Tribal Government Engagement Obligation Name of Attached Document (.pdf) If your company serves Tribal lands, please select (Yes, No, Not Applicable) for each of these boxes to confirm the status described on the attached PDF, on line 145, demonstrates coordination with the Tribal government pursuant to includes: <146> Needs assessment and deployment planning with a focus on Tribal community anchor institutions; <147> Feasibility and sustainability planning; Select (Yes, No, Not Applicable) <148> Marketing services in a culturally sensitive manner; <149> Compliance with Rights of way processes <150> Compliance with Land Use permitting requirements <151> Compliance with Facilities Siting rules <152> Compliance with Environmental Review processes <153> Compliance with Cultural Preservation review processes <154> Compliance with Tribal Business and Licensing requirements. Page 5 330

32 ^uyuj rrotect upoate Information FCC Form v <030> Contact Name - Person USAC should contact regarding this data Ana Bataille <035> Contact Telephone Number - Number of person identified in data line <030> ext. <039> Contact Address - Address of person identified in data line <030> Approved by OM8 (1MB Control No 'DEO 71G Pa^^Eof; abataille@cellonenation.com <200> Date Authorized to Receive Support <201> Targeted Completion Date <202> Total Mobility Fund Support Awarded <203> Total Mobility Fund Support Disbursed 08/16/ /17/ <210> Actual Completion Date <211> Project Status Description ( attached) _PSD_TX.pdf Please check these boxes below to confirm that the attached PDF, on line 211, contains a project status pursuant to (b)(2)(v). The information shall be submitted as appropriate. <212> Status of Network Deployment - Network Design <213> Status of Network Deployment - Construction <214> Status of Network Deployment - Deployment <215> Status of Network Deployment - Maintenance <216> Project Budget Status <217> Project Plan Status <218> Certify Network will Support 3G/4G Mobile Service (Yes / No) (Name of PDF attached} Page 6 331

33 (101) Certification - Reporting Carrier FCC Form F'i l Approved by0mf3 <030> ContactName -PersonUSACshouldcontactregardingthisdata <035> Contact Telephone Number -Number of person identifi ed in data line <030> <039> Contact Address - Address of person identified in data line <030> TexaS 10, LLC 2015 Ana Bataille ext. abatail le@cellonenation. com 0Mh Cintrol No. 30C PaKe 7 u!'c, TO BE COMPLETED BY THE REPORTING CARRIER, IF THE REPORTING CARRIE R IS FILING ON ITS OWN BEHALF: Certification of Officer as to the Accuracy of the Data Reported for Mobility Fund Recipients certify that I am an officer of the reporting carrier; my responsibilities include ensuring the accuracy of the reporting requirements for Mobility Fund recipients; and, to the est of my knowledge, the information reported on this form and in any attachments is accurate. of Reporting Carrier: re of Authorized Officer: ed name of Authorized Officer: CERTIFIED ONLINE Ana Bataille Date 06/25/2015 or position of Authorized Officer: Tax & Regulatory Manager )hone number of Authorized Officer: G911 ext. 1 Area Code of Reporting Carrier: Filing Due Date forthis form: 07/01/2015 Persons willfully making false statements on this form can be punished by fine or forfeiture under the Communications Act of 1934, 47 U.S.C 502, 503(b), or fine or imprisonment under Title 18 of the United States Code, 18 U.S.C Page 7 332